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Does head-turning during a seizure have lateralizing or localizing significance?

From the Montreal Neurological Institute and the Department of Neurology and Neurosurgery, McGill University, Montreal, Canada.

Forced lateralized head-turning, occurring as the first clinical sign in 106 epileptic seizures in 43 patients, was recorded on videotape simultaneously with the EEG. Forty-five ictal EEGs were obtained with stereotaxically implanted intracerebral electrodes. Forced head-turning was seen with seizures that had a frontal, temporal, unilateral diffuse, or a generalized onset in the EEG. Ipsilateral was as common as contralateral head-turning in all groups, including the seizures with frontal lobe onset. Initial head-turning in a seizure has no localizing or lateralizing significance.

Address correspondence and reprint requests to Dr. Gloor, Montreal Neurological Institute, 3801 University Street, Montreal, Quebec, H3A 2B4, Canada.

Presented in part at the 34th Annual Meeting of the American Academy of Neurology in Washington, DC, April 1982.

Accepted for publication November 10, 1983.

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